Murnane Kevin S
Department of Pharmaceutical Sciences, Mercer University College of Pharmacy, Mercer University Health Sciences Center, Atlanta, GA, United States.
Prog Brain Res. 2018;242:25-67. doi: 10.1016/bs.pbr.2018.08.003. Epub 2018 Oct 5.
Human research with psychedelics is making groundbreaking discoveries. Psychedelics modify enduring elements of personality and seemingly reduce anxiety, depression, and substance dependence in small but well-designed clinical studies. Psychedelics are advancing through pharmaceutical regulatory systems, and neuroimaging studies have related their extraordinary effects to select brain networks. This field is making significant basic science and translational discoveries, yet preclinical studies have lagged this renaissance in human psychedelic research. Preclinical studies have a lot to offer psychedelic research as they afford tight control of experimental parameters, subjects with documented drug histories, and the capacity to elucidate relevant signaling cascades as well as conduct invasive mechanistic studies of neurochemistry and neural circuits. Safety pharmacology, novel biomarkers, and pharmacokinetics can be assessed in disease state models to advance psychedelics toward clinical practice. This chapter documents the current status of psychedelic research, with the thematic argument that new preclinical studies would benefit this field.
针对迷幻剂的人体研究正在取得突破性发现。在规模虽小但设计精良的临床研究中,迷幻剂改变了人格的持久要素,且似乎减轻了焦虑、抑郁和物质依赖。迷幻剂正通过药物监管体系取得进展,神经影像学研究已将其非凡效果与特定脑网络联系起来。该领域正在取得重大的基础科学和转化医学发现,但临床前研究却落后于人体迷幻剂研究的这场复兴。临床前研究能为迷幻剂研究提供很多帮助,因为它们能严格控制实验参数、研究有用药记录的受试者,并有能力阐明相关信号级联反应,以及开展神经化学和神经回路的侵入性机制研究。可以在疾病状态模型中评估安全药理学、新型生物标志物和药代动力学,以推动迷幻剂走向临床应用。本章记录了迷幻剂研究的现状,并提出新的临床前研究将使该领域受益这一主题观点。